ArticleThe Journal of nutrition2016
Greater Healthful Dietary Variety Is Associated with Greater 2-Year Changes in Weight and Adiposity in the Preventing Overweight Using Novel Dietary Strategies (POUNDS Lost) Trial.
Article in The Journal of nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00072995 (Preventing Overweight Using Novel Dietary Strategies), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Preventing Overweight Using Novel Dietary Strategies (Pounds Lost)
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of diet quality scores including diet diversity in relation to major chronic diseases, obesity and mortality in healthy adults.European journal of nutrition · 2026Pooled it
- Isocaloric replacement of ultraprocessed foods was associated with greater weight loss in the POUNDS Lost trial.Obesity (Silver Spring, Md.) · 2024Trial
- Blood pressure variation and ultra-processed food consumption in children with obesity.European journal of pediatrics · 2023Trial
- Temporal and mediation relations of weight loss, and changes in insulin resistance and blood pressure in response to 2-year weight-loss diet interventions: the POUNDS Lost trial.European journal of nutrition · 2022Trial
- The Long-Term Dietitian and Psychological Support of Obese Patients Who Have Reduced Their Weight Allows Them to Maintain the Effects.Nutrients · 2021Trial
- Do routinized eating behaviors support weight loss? An examination of food logs from behavioral weight loss participants.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026Article
- "The Big Three" properties of food that drive intake.Physiology & behavior · 2025Review
- Dietary diversity and metabolic health among people in Västerbotten, Sweden.European journal of clinical nutrition · 2025Article
- Healthy food diversity and the risk of major chronic diseases in the EPIC-Potsdam study.Scientific reports · 2024Article
- Review
- Dietary variety score and risk of metabolic syndrome incidence: Tehran Lipid and Glucose Study.BMJ nutrition, prevention & health · 2024Article
- Forty Years after Poverty Reduction in China: The Role of Women's Empowerment in Enhancing Food Security and Diet Diversity.Nutrients · 2023Article
- Associations of dietary diversity with the gut microbiome, fecal metabolites, and host metabolism: results from 2 prospective Chinese cohorts.The American journal of clinical nutrition · 2022Article
- Association of Non-alcoholic Fatty Liver Disease With Salt Intake and Dietary Diversity in Chinese Medical Examination Adults Aged 18-59 Years: A Cross-Sectional Study.Frontiers in nutrition · 2022Article
- Dietary Diversity Indicators and Their Associations with Dietary Adequacy and Health Outcomes: A Systematic Scoping Review.Advances in nutrition (Bethesda, Md.) · 2021Article
- Fiber Intake Predicts Weight Loss and Dietary Adherence in Adults Consuming Calorie-Restricted Diets: The POUNDS Lost (Preventing Overweight Using Novel Dietary Strategies) Study.The Journal of nutrition · 2019Article
- Lessons Learned from the POUNDS Lost Study: Genetic, Metabolic, and Behavioral Factors Affecting Changes in Body Weight, Body Composition, and Cardiometabolic Risk.Current obesity reports · 2019Review
- Aspects of Dietary Diversity Differ in Their Association with Atherosclerotic Cardiovascular Risk in a Racially Diverse US Adult Population.Nutrients · 2019Article
- Using an introduced index to assess the association between food diversity and metabolic syndrome and its components in Chinese adults.BMC cardiovascular disorders · 2018Article
- Hyperpalatability and the Generation of Obesity: Roles of Environment, Stress Exposure and Individual Difference.Current obesity reports · 2018Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundGreater healthful dietary variety has been inversely associated with body adiposity cross-sectionally; however, it remains unknown whether it can improve long-term weight loss.
objectiveThis study prospectively examined associations between healthful dietary variety and short-term (6 mo) and long-term (2 y) changes in adiposity in the Preventing Overweight Using Novel Dietary Strategies (POUNDS Lost) weight-loss trial completed in 2007.
methodsHealthful dietary variety was assessed from 24-h recalls with the use of the US Healthy Food Diversity index among participants aged 30-70 y with overweight/obesity (n = 367). Changes in the index between baseline and 6 mo were divided into tertiles representing reduced (T1), stable (T2), or increased variety (T3). Body weight and waist circumference (WC) were measured every 6 mo, and the percentage of body fat and trunk fat were measured at 6 mo and 2 y. Associations between changes in variety and short-term and long-term changes in adiposity were analyzed by use of multivariable-adjusted generalized linear models and repeated-measures ANOVA.
resultsRegardless of dietary arm, T3 compared with T2 was associated with greater reduction in weight (-8.6 compared with -6.7 kg), WC (-9.1 compared with -6.1 cm), and body fat at 6 mo (β = -4.61 kg, P < 0.05). At 2 y, individuals in T3 compared with those in T2 or T1 maintained greater weight loss [-4.0 (T3) compared with -1.8 kg (T2 and T1), P = 0.02] and WC reduction [-5.4 (T3) compared with -3.0 (T2) and -2.9 cm (T1), P = 0.01]. Total body fat and trunk fat reductions were similarly greater in T3 than in T2.
conclusionsIncreasing healthful food variety in energy-restricted diets may improve sustained reductions in weight and adiposity among adults with overweight or obesity on weight-loss regimens. This trial is registered at clinicaltrials.gov as NCT00072995.
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